Author: Tim Bertelsman, DC, DACO

Love Was (and remains) In the Air

Posted by Tim Bertelsman, DC, DACO | Feb 15, 2017 | Acupuncture, Clinical, Diagnosis, Orthopedic, zall | 0 |

If you have not already seen it, Annals of Internal Medicine gave you and I a very nice Valentine’s Day Gift. This past Tuesday, Annals published an updated Clinical Practice Guideline for Managing LBP from the American College of Physicians.

Migraine Headache

Posted by Tim Bertelsman, DC, DACO | Jan 4, 2017 | Clinical, Orthopedic, zall | 0 |

“Migraine” is a complex, chronic neurologic disorder characterized by recurrent moderate to severe headaches. The diagnosis of migraine is subdivided into “migraine without aura” (formerly common migraine) and “migraine with aura” (formerly classic migraine). (1) “Aura” is the collection of autonomic nervous system symptoms that occur immediately prior to the headache. (2) Aura symptoms may include visual disturbances, extremity paresthesias, nausea, vomiting, and hypersensitivity to light or sound.

Snapping Hip: The Iliopsoas Tendon

Posted by Tim Bertelsman, DC, DACO | Dec 1, 2016 | Clinical, Orthopedic, zall | 0 |

In addition to its contribution to various lumbopelvic problems, the iliopsoas tendon itself is a common source of hip pain and dysfunction.

Superior Labrum Anterior Posterior (SLAP) Lesions

Posted by Tim Bertelsman, DC, DACO | Sep 28, 2016 | Clinical, Orthopedic, zall | 0 |

The acronym “SLAP” stands for Superior Labrum Anterior Posterior, and is used to describe a tear or detachment of the shoulder’s superior glenoid labrum.

Managing Hamstring Strains

Posted by Tim Bertelsman, DC, DACO | Jun 1, 2016 | Clinical, Orthopedic, Sports, zall | 0 |

Summer ushers in a new season of outdoor activities, ranging from running to water skiing. Unfortunately, the relatively high physical demands of these activities can lead to painful injuries of unconditioned muscles and tendons. The powerful hamstring muscle is a common victim, with strains carrying the potential for prolonged recovery.

Progressive Arch Collapse

Posted by Tim Bertelsman, DC, DACO | Apr 1, 2016 | Clinical, Orthopedic, zall | 0 |

Posterior tibial tendon dysfunction (PTTD) is the most common cause of adult-acquired flat foot. 1 Symptoms begin with pain and may progress to degeneration and deformity if left untreated. 1,3 Early recognition and management can lead to significantly improved outcomes. 1

Define Sacroiliac Joint Dysfunction

Posted by Tim Bertelsman, DC, DACO | Feb 1, 2016 | Clinical, Orthopedic, Radiology, zall | 0 |

The sacroiliac joint (SIJ) is the load-bearing, shock-absorbing union between the spine and pelvis. It is a mechanical link that connects the chain of locomotion to the rest of the body. This irregular, synovial and fibrocartilagenous joint is surrounded by a strong ligamentous-reinforced capsule and is minimally mobile, allowing only about 4 degrees of rotation and up to 1.6 mm of translation 1,2.